Welcome


Below you will find useful information about the

Boise State University
Graduate Assistant Student Health Insurance Plan

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Important Messages


CORONAVIRUS IMPORTANT MESSAGE

Wellfleet is waiving out-of-pocket costs (copays, deductibles,
and coinsurance) for all COVID-19 treatment until
further notice.
Similar to a preventative visit, like your
annual physical, you’ll have no out-of-pocket costs
for your treatment.

Enrollment Information

Your Graduate Assistantship award includes coverage in the GA Health Insurance Plan and full payment of the premium. At the start of your GA position, you will be automatically enrolled in the insurance plan.

Contact Information

For questions regarding enrollment, contact Kristen or Megan in the Graduate College at
gradassistant@boisestate.edu or call (208) 426-1039.

For questions regarding claims or benefits, contact Wellfleet Group, LLC at
(877) 657-5030, TTY 711 or visit www.wellfleetstudent.com.

Use your insurance

Health Center

On-campus health services
for students

Visit the campus health center first before receiving any treatment off campus.

Location: 1529 Belmont Street (located directly behind the Student Recreation Center, in the Norco Building)

Phone: (208) 426–1459

Hours:
Monday, Tuesday, Thursday, & Friday: 8:00 a.m. – 5:00 p.m.
Wednesday: 10:00 a.m. – 5:00 p.m

Closed weekends and school holidays.

Provider Network

How to search for an
in-network provider

If you are unable to visit the campus health center, use providers in the PPO network whenever possible.

It is best to locate an in-network doctor, urgent care center, and emergency room near you before you get sick. To find a PPO provider, visit the Cigna website (link below).

  1. From the top right of the screen next to search box, click on Find a Doctor, Dentist, or Facility.
  2. Under “How are you Covered,” click on Employer or School.
  3.  Enter your Address and City, or Zip, then click on address to confirm.
  4. Click on Doctor by Type, Doctor by Name, or Locations and make your selection in the drop down.
  5. Click Continue as guest.
  6. Confirm your address and click Continue.
  7. Under “Please Select a Plan,” click PPO, Choice Fund PPO (bottom).
  8. Select a doctor from the list.

Arrive 15 minutes early for your appointment, and bring your insurance ID card with you. Always verify the provider is part of the
Cigna, Choice Fund PPO Network before you receive treatment.

Pharmacy

Information about
Prescription Drugs

The Pharmacy Benefits Manager for this plan is Wellfleet Rx/ESI. Please see the Wellfleet/Express Scripts website (link below) to find a pharmacy near you, or call Member Pharmacy Help at (877) 640-7940.

Claims

Get your medical bills paid

In the event of either an Injury or a Sickness:

  1. Report to a Physician, Hospital or the School’s Student Health Services.
  2. Written notice of a claim must be submitted to the address below within thirty (30) days after the date of Injury or commencement
    of Sickness covered by the Policy, or as soon thereafter as is reasonably possible.
  3. Send all medical and hospital bills, along with the patient’s name and insured student’s name, address, Social Security number or student ID number and name of the University under which the student is insured, to the address below. A Company claim form is not required for filing a claim.

Cigna
P.O. Box 188061
Chattanooga, Tennessee 37422-8061
Electronic Payor ID: 62308

For Non-Cigna PPO Providers:
Wellfleet Group, LLC
P.O. Box 15369
Springfield, Massachusetts 01115-5369
(877) 657-5030, TTY 711
www.wellfleetstudent.com

Bills should be received by the Company within ninety (90) days of service. Keep copies of all the documents you submit. To
check the status of a claim you submitted, call (877) 657-5030, TTY 711 or visit www.wellfleetstudent.com.

Confidential Communication Request

If you would like to have confidential medical information from the claims administrator sent to an address other than the address on file with your school, you can download a Confidential Communication Request, fill out the form, and send it to the address listed. This form is available below.

Travel Assistance

When traveling away from
your school or outside the U.S.

Students covered under the student insurance plan are automatically enrolled in Wellfleet Travel Guard. Travel Guard offers many services to help students when traveling away from your school or outside the U.S., including medical emergencies during travel, help with lost luggage, documents, or medications, insightful pre-trip information, and more.

For additional information, see your Plan Summary or visit the Travel Guard website (link below).